. Glucose-dependent expansion of pancreatic -cells by the protein p8 in vitro and in vivo. Am J Physiol Endocrinol Metab 291: E1168 -E1176, 2006. First published July 18, 2006 doi:10.1152/ajpendo.00436.2005.-p8 protein expression is known to be upregulated in the exocrine pancreas during acute pancreatitis. Own previous work revealed glucose-dependent p8 expression also in endocrine pancreatic -cells. Here we demonstrate that glucose-induced INS-1 -cell expansion is preceded by p8 protein expression. Moreover, isopropylthiogalactoside (IPTG)-induced p8 overexpression in INS-1 -cells (p8-INS-1) enhances cell proliferation and expansion in the presence of glucose only. Although -cell-related gene expression (PDX-1, proinsulin I, GLUT2, glucokinase, amylin) and function (insulin content and secretion) are slightly reduced during p8 overexpression, removal of IPTG reverses -cell function within 24 h to normal levels. In addition, insulin secretion of p8-INS-1 -cells in response to 0 -25 mM glucose is not altered by preceding p8-induced -cell expansion. Adenovirally transduced p8 overexpression in primary human pancreatic islets increases proliferation, expansion, and cumulative insulin secretion in vitro. Transplantation of mock-transduced control islets under the kidney capsule of immunosuppressed streptozotocin-diabetic mice reduces blood glucose and increases human C-peptide serum concentrations to stable levels after 3 days. In contrast, transplantation of equal numbers of p8-transduced islets results in a continuous decrease of blood glucose and increase of human C-peptide beyond 3 days, indicating p8-induced expansion of transplanted human -cells in vivo. This is underlined by a doubling of insulin content in kidneys containing p8-transduced islet grafts explanted on day 9. These results establish p8 as a novel molecular mediator of glucoseinduced pancreatic -cell expansion in vitro and in vivo and support the notion of existing -cell replication in the adult organism.diabetes; islet transplantation; insulin secretion; -cell proliferation TO DATE, IT IS CONTROVERSIAL whether neogenesis from pancreatic precursor cells present in ducts (2) and islets of Langerhans (45) or self duplication of existing -cells (12) contributes to the formation of new pancreatic -cells in the adult organism. The debate highlights that mechanisms of -cell homeostasis and regenerative repair are not well understood. In particular, knowledge about molecular regulation of pancreatic -cell mass expansion is limited. Important examples of factors associated with -cell expansion are the incretin hormone glucagon-like peptide (GLP)-1, the GLP-1 analogon exendin (Ex)-4 (28), and the cellular molecular mediator cyclin D2 (17).Here we report on -cell-expanding properties of the protein p8, which is considered to be a member of the high-mobility group (HMG)-I/Y transcription factor family despite low sequence homology (14). p8 is expressed in a broad range of tissues (25, 41) and is degraded via the ubiquitin/proteasome pathw...